Robert W Fattouch in Poway - Pediatric Dentistry
Robert W Fattouch - NPI 1144386194
Robert W Fattouch is a Pediatric Dentistry in Poway, California. Robert W Fattouch practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert W Fattouch is 1144386194. The last update date is 2020-09-04.
Robert W Fattouch's current location address is 15835 Pomerado Rd, Poway, California. You can contact this provider via phone number 8586744261 and fax number 8586760258. The mailing address for Robert W Fattouch is 15835 Pomerado Rd, Poway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W Fattouch |
|---|---|
| Address | 15835 Pomerado Rd, Poway, California |
| Phone Number | 8586744261 |
| Fax Number | 8586760258 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1144386194 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2020-09-04 |
Provider Mailing Address Detail
| Address | 15835 Pomerado Rd |
|---|---|
| City | Poway |
| State | California (CA) |
| Post Code | 920642073 |
| Phone Number | 8586744261 |
| Fax Number | 8586760258 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D5481 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 873902 | AZ | ACCEHS |
Post Comment/ Review Below
What is the Robert W Fattouch's unique identification number?
The Robert W Fattouch has been assigned the NPI (National Provider Identifier) Number 1144386194 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Robert W Fattouch's physical address?
The Robert W Fattouch is physically located at 15835 Pomerado Rd, in the city of Poway, CA, with the postal code 920642073.
When did the Robert W Fattouch receive its 1144386194?
The Robert W Fattouch was issued its 1144386194 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
On what date did the Robert W Fattouch receive its 1144386194 assignment from the Centers for Medicare & Medicaid Services?
The Robert W Fattouch was assigned its 1144386194 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details related to Robert W Fattouch most recently updated or revised?
The information pertaining to Robert W Fattouch, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-04.